Pre op Flashcards
always should be an indication for specific study:
Hemoglobin:
> 65 undergoing major surgery
surgery with expected blood loss
serum creatinine:
> 50 with intermeidate or high risk surgery
suspected renal dx, intraoperative hypotension possible, nephrotoxic meds
pregnancy testing:
all reporductve age women get this
electrolytes, glucose, LFT, coags or urinalysis
NOT recommedned for eval of healthy asympotmatic pts
EKG:
not recommended for asymptomatic pts undergoing low risk surgeyr
can ve considered ofr asymptomatic or pts with known CAD, arrhythmias, PAD, CVD, structural HD, MOSTLY HAVE TO HAVE A BASELINE
CXR and PFT:
not recommended for healthy pts, recommended in pts >50 + cardiopulmonary dix undergoing abd aneurysm surgery, upper/adb or throacic surgery
most important perioperative comps in surgery?
MI
cardiac death
The greatest risk factor for cardiac complication is end-organ cardiovascular
CAD
HF
CVA
CKD
post op MI occur typically occur with what condition?
CAD
(post op MI often presents without symptoms, hypotensive, hypoexmia, delirious
we want to titrate a BB to what?
resting HR of 50-70bpm
statins decreaserate of MI with what?
non caridac surgery
these should be considered in all pts undergoing vascular procedires or hard cardiac risks?
statins
elective surgeries should be postponed with this type of HF?
decompesnated
whats worse systolic or diastolic HF?
systolic
valvular HD should get a what?
echo
